| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $285.89 | $461.21 | $7,439.00 | |
Medcost
| Facility | $280.00 | $391.15 | $698.73 | |
United
| Facility | $361.00 | $896.00 | $2,229.00 | |
Wellcare
| Facility | $55.00 | $1,816.36 | $2,258.76 |